Hospital and Nursing Home Licensure and Inspection

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This is Article 1 of the Code of Virginia, titled “Hospital and Nursing Home Licensure and Inspection.” It is part of Chapter 5 “Regulation of Medical Care Facilities and Services”, which is part of Title 32.1 “Health”.

It’s comprised of the following 59 sections.

§ 32.1-123 (Effective January 1, 2026) Definitions
§ 32.1-124 Exemptions
§ 32.1-125 Establishment or operation of hospitals and nursing homes prohibited without license or certification; licenses not transferable
§ 32.1-125.01 Failing to report; penalty
§ 32.1-125.1 Inspection of hospitals by state agencies generally
§ 32.1-125.2 Disclosure of other providers of services
§ 32.1-125.3 Bed capacity and licensure in hospitals designated as critical access hospitals; designation as rural hospital
§ 32.1-125.4 Retaliation or discrimination against complainants
§ 32.1-125.5 Confidentiality of complainant's identity
§ 32.1-126 Commissioner to inspect and to issue licenses to or assure compliance with certification requirements for hospitals, nursing homes, and certified nursing facilities; notice of denial of license; consultative advice and assistance; notice to electric utilities
§ 32.1-126.01 Employment for compensation of persons convicted of barrier crimes prohibited; criminal records check required; suspension or revocation of license
§ 32.1-126.02 Hospital pharmacy employees; criminal records check required
§ 32.1-126.1 Asbestos inspection for hospitals
§ 32.1-126.2 Fire suppression systems required in nursing facilities and nursing homes
§ 32.1-126.3 Fire suppression systems required in hospitals
§ 32.1-126.4 Hospital standing orders or protocols for certain vaccinations
§ 32.1-126.5 Consolidation of inspections
§ 32.1-127 (Effective January 1, 2026) Regulations
§ 32.1-127.001 Certain design and construction standards to be incorporated in hospital and nursing home licensure regulations
§ 32.1-127.01 Regulations to authorize certain disciplinary actions and guidelines
§ 32.1-127.1 Immunity from liability for routine referral for organ and tissue donation
§ 32.1-127.1:01 Record storage
§ 32.1-127.1:02 Repealed
§ 32.1-127.1:03 Health records privacy
§ 32.1-127.1:04 Use or disclosure of certain protected health information required
§ 32.1-127.1:05 Breach of medical information notification
§ 32.1-127.2 Repealed
§ 32.1-127.3 Immunity from liability for certain free health care services
§ 32.1-128 Applicability to hospitals and nursing homes for practice of religious tenets
§ 32.1-129 Application for license
§ 32.1-130 Fees; Hospital and Nursing Home Licensure and Inspection Program Fund
§ 32.1-131 Expiration and renewal of licenses
§ 32.1-132 (Effective July 1, 2028) Alterations or additions to hospitals and nursing homes; when new license required; use of inpatient hospital beds for furnishing skilled care services
§ 32.1-133 Display of license
§ 32.1-133.1 Human trafficking hotline; posted notice required; civil penalty
§ 32.1-134 Family planning information in hospitals providing maternity care
§ 32.1-134.01 Certain information required for maternity patients
§ 32.1-134.02 Infants; blood sample provided to parents
§ 32.1-134.03 Maternal health; protocols and resources for hospitals and outpatient providers; report
§ 32.1-134.1 When denial, etc., to duly licensed physician of staff membership or professional privileges improper
§ 32.1-134.2 Clinical privileges for certain practitioners
§ 32.1-134.3 Response to applications for clinical privileges
§ 32.1-134.4 Right of podiatrists or advanced practice registered nurses to injunction
§ 32.1-135 Revocation or suspension of license or certification of hospital or certified nursing facility; restriction or prohibition of new admissions to certified nursing facility
§ 32.1-135.1 Certain advertisements prohibited
§ 32.1-135.2 Offer or payment of remuneration in exchange for referral prohibited
§ 32.1-136 Violation; penalties
§ 32.1-137 Certification of medical care facilities under Title XVIII of Social Security Act
§ 32.1-137.01 Posting of charity care policies
§ 32.1-137.010 Financial assistance; payment plans
§ 32.1-137.011 Childbirth; postpartum process; doulas
§ 32.1-137.02 Hospital discharge procedures
§ 32.1-137.03 Discharge planning; designation of individual to provide care
§ 32.1-137.04 Patient notice of observation or outpatient status
§ 32.1-137.05 Information regarding standard charges; advance estimate of patient payment amount for elective procedure, test, or service
§ 32.1-137.06 Lyme disease test result information
§ 32.1-137.07 Violations of certain provisions; penalty
§ 32.1-137.08 Medical care facilities; persons with disabilities; designated support persons
§ 32.1-137.09 Hospital emergency department CPT code data reporting